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If you've had a cesarean delivery (C-section), a trial of labor (TOLAC) is an attempt to have a vaginal birth after cesarean (VBAC), explains this ACOG patient. VBAC and the Risk of Uterine Rupture. The greatest concern for women who have had a previous cesarean is the risk of uterine rupture during a vaginal birth. Recently, ACOG stated that VBAC is safer than a repeat cesarean, and VBAC with more than one previous cesarean does not pose any increased risk.